| ORIGINAL ARTICLE |
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| Year : 2014 | Volume
: 1
| Issue : 2 | Page : 40-43 |
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Indications and outcomes of tracheostomy: An experience in a resource-limited environment
Taiwo O Adedeji, James E Tobih, Adedayo O Olaosun, Julius Idowu
Department of? Otorhinolaryngology Head and Neck Surgery, Ladoke Akintola University of Technology (LAUTECH) Teaching Hospital, Osogbo, Osun, Nigeria
Correspondence Address:
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/2394-2010.150795
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Background: Tracheostomy remains one of the most important procedures for airway emergency management, especially in a developing country where patients will not present until they are in acute airway obstruction. This study reviews all the tracheostomies performed in a suburban tertiary health institution in a developing country. Materials and Methods: A retrospective review of patients who had tracheostomy over a 10-year period. Results: There were 52 tracheostomies performed on 36 males and 16 females with a male: Female ratio 2.3:1. Upper airway obstruction was the major indication (63.5%), with laryngeal tumor as the major cause (32.7%). Tracheostomy was performed as emergency in 76.9% and as elective in 23.1%. Majority (73.1%) of the emergency tracheostomies was done under general anesthesia and over 84% were temporary tracheostomies. There were 21.2% complications with tracheostomy dependence as the leading cause in 9.6%, followed by peri-stoma granulation in 5.8%. Conclusion: Upper airway obstruction remains the major indication for tracheostomy, with laryngeal tumor as the major cause. There is a need for increased awareness of the people through social campaigns and health education on the merits of early detection and improvement in health-seeking behaviors of the people. |
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